60例糖尿病并肺结核病合并真菌感染临床分析

Clinical Analysis of 60 Patients with Diabetes and Tuberculosis Merger Fungal Infections

目的探讨糖尿病并肺结核病合并真菌S感染的临床特点,为临床治疗提供依据。方法对汕头市第三人民医院糖尿病并肺结核病合并真菌感染患者60例的临床资料进行回顾性分析。结果糖尿病并肺结核病的肺部真菌感染的病原菌以白色念珠菌为主,占42例(70.0%),其他真菌感染18例(30.0%)。复治肺结核、重症肺结核患者及血糖控制不理想多见,感染白色念珠菌分别为:36例(75.6%),42(76.4%)和18(100%);结果比较差异均有统计学意义(P<0.01)。结论肺部真菌感染的病原菌以白色念珠菌为主,复治肺结核及重症肺结核患者多见;血糖控制程度明显影响肺结核病合并真菌感染患者病灶的愈合,糖尿病和肺结核病合并真菌感染患者两者相辅相成。

Objective To explore the clinical characteristics of diabetes and tuberculosis merger fungal infection and provide basis for clinical treatment.Methods Retrospectively analyse the clinical data of 60 cases of diabetes and tuberculosis merger fungal infection in Shantou third people′s hospital.Results Pathogenic pathogens in diabetes and tuberculosis merger fungal infection candida albicans 42 cases（70.0%）primarily,Other fungal infections 18 cases（30.0%）,especially the retreatment pulmonary tuberculosis,severe tuberculosis and diabetes,the candida albicans infection rates was respectively 75.6%,76.4% and 100%.All of the results have significant differences（P〈0.01）.Conclusion Pathogenic pathogens in pulmonary fungus infection candida albicans primarily,especially the patients of retreatment pulmonary tuberculosis and severe tuberculosis.The blood glucose control level significantly affect the lesions＇concrescence of patients with tuberculosis merger fungal infections.Diabetes and tuberculosis merger fungus infection were both complement each other.